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45/F with FEVER AND HYPOTENSION

 Chief complaints: (7/10/22) 1)FEVER since 10 days 2) SOB,GIDDINESS since 3 days 3) VOMITINGS and  LOOSE STOOLS  since yesterday  HOPI:  Patient was apparently asymptotic 10days back from when she had fever which is associated with chills and rigors and with diurnal variation , increased during night and subsided by night and subsided by night , she had giddiness and SOB, (grade III) since 3 days and yesterday night went to a local doctor , he gave ORS from then she had vomitings, 1episode, food as it’s content , non projectile. She also had 4 episodes of loose stools ,since today today morning. No blood /mucus in stools . Patient also complains of cough since 3 days (dry) PAST ILLNESS:  N/K/C/O HTN,DM,Epilepsy ,TB, CVA,CAD PERSONAL HISTORY: Married, Homemaker, has normal appetite, takes mixed diet  and has regular bladder movements, having loose stools since mrng., she is an occasional alcoholic, stopped since 1year  GENERAL PHYSICAL EXAMINATION: Patient came by walk to OPD Conscious,
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84 /M with SOB &cough with sputum

  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of i

INTERNSHIP ASSESSMENT ROLLNO.- 25-48

 25. Om Nivas http://bejugamomnivasguptha12.blogspot.com/2022/11/clinical-assessment.html 26. J.Abhiram http://abhirambhashyakarla.blogspot.com/2022/11/intern-assessment.html 27. Saikiran https://budigesaikiran.blogspot.com/2022/12/bimonthly-internship-assessment.html 28.  Ch.Abhishek (LEAVE) 29. Ch.Savanth http://savanthreddy.blogspot.com/2022/12/1-httpsavanthreddy.html 30. Ch.Sai Saketh    https://saichennuru.blogspot.com/2022/11/internship-assessment.html 31. Ch.Akhila   https://chippaakhila23.blogspot.com/2022/11/internship-assessment.html?m=1 32. D.Vineesha Choudary   https://daddalavineeshachowdary.blogspot.com/2022/11/internship-assessment.html 33. D. Shivani   https://dandushivani.blogspot.com/2022/11/inrernship-assessment.html 34. D. Thanmai http://dthanmai27.blogspot.com/2022/11/internship-assesment-if-gen-med-postings.html 35. E.Laharika   https://laharika29.blogspot.com/2022/11/internship-assessment.html 36. E. Sidhanth   http://157siddhanth.blogspot.com/2022/11/internship-

Self assessment

during UNIT Case 1: https://nehareddygaddam.blogspot.com/2022/10/80yr-male-with-altered-sensorium.html Learning points - learned about Clolistimeth sodium  - assisted in USG guided ascitic tap - Took care of ICD (bag should be below waist level, cap -open, maintain water seal, check for coloum moment) -got to know how imp. Input ,output and fever charting are! Case 2: https://nehareddygaddam.blogspot.com/2022/10/this-is-online-e-logbook-to-discuss-our.html -MMRC grading  -did sleep study to rule out OSA Case3: https://nehareddygaddam.blogspot.com/2022/10/chief- complaints-fever-since-10days-dry.html Causes of HF-   Case4: https://nehareddygaddam.blogspot.com/2022/10/72-female-with-fever-burning.html -got to know about UTI caused by culture negative organism (Cryptococus,mycoplasma) - during NEPHROLOGY   1) assisted while placing central line , suturing done under the guidance of Dr.keerthi  2)monitored vitals for patients during dialysis  3) managed HTN during dialysis  during WARD

72 Female with Fever, Burning micturition, Abdominal pain

  Chief complaints:   Fever since 1month (sep15th) Burning micturition for 10days (sep15th -25th) Abdominal pain since 1month  Decreased appetite since 20 days HISTORY OF PRESENTING ILLNESS: A 72 year post menopausal female , came to casualty with complaints of fever since sep15th ( 36th day of illness). Fever was high grade with evening rise in temperature associated with chills and rigors, not associated with nausea and vomiting/headache/cold/cough . She was treated with oral medicines on day 2 of illness,But fever dint subside . Not associated with loose stools /blood in stools On 2nd October (17th day of illness ) she was given IV antibiotics for 2 days , and was on antipyretics From 9th October she had feverspike , she consulted a doctor, she was started on inj. Magnexforte and Tab. Farepeneum 200mg for a week.   “presented to outside hospital with fever , right hypochondriac pain and nausea , she was clinically as SEPSIS WITH MODS, surgical opinion was taken and adviced for lap c

67yr male with fever and generalized weakness

This is an online Blog book to discuss our patients deidentified health data shared after taking his/ her guardians to sign an informed consent Here we discuss our patient problems through a series of inputs from the available Global online community of experts with n aim to solve those patient clinical problems with the current best evidence-based input This Blog also reflects my patient-centred online learning portfolio. Your valuable input on the comment box is welcome  I have been given this case to solve in an attempt to understand the topic of " Patient clinical data analysis" to develop my competence in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan CHIEF COMPLAINTS  Fever since 10days Dry cough since 10days  Generalized weakness and bodypains since 10days  Decreased appetite since 5 days  Red colored urine since 5 days  Vomiting on Day 4 of illness Pain abdomen since 2 days H